Organization Name: | AMERICAN CURRENT CARE OF CALIFORNIA, A MEDICAL CORPORATION |
NPI Number: | 1306035365 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM TOM FOGARTY (SENIOR VP / CHIEF MEDICAL OFFICER) |
Mailing Address: | 26 Centerpointe Drive Suite 115 La Palma |
State: | CA US |
Postal Code: | 906231072 |
Phone Number: | 7145228051 |
Fax Number: | 7145227833 |
NPI Enumeration Date: | 10/16/2007 |
NPI Last Update Date: | 07/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |